2024-05-14T14:16:05-05:00 2023-06-30 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-07-01 810286525 STILLWATER HOSPITAL ASSOCIATION % KELLEY HARMON STIL 4063225316 710 N 11TH ST COLUMBUS MT 59019 LUKE KOBOLD CEO 4063225316 2024-05-15 true LUKE KOBOLD 999009999 Adam R Smith CPA P00958966 7194714290 2024-05-15 2 2022 2023-04-26 12:10:37Z LUKE KOBOLD 710 N 11TH ST COLUMBUS MT 59019 16514762 false X WWW.STILLWATERBILLINGSCLINIC.COM X 1914 MT STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC AND HOSPITAL SVCS TO DELIVER QUALITY COORDINATED CARE 9 5 108 0 0 843155 433032 14969067 13304931 54781 227142 35000 9892 15902003 13974997 3630 2013 0 0 9140103 7895673 0 0 0 5842756 5938849 14986489 13836535 915514 138462 23303348 22334260 15264448 14215395 8038900 8118865 X STILLWATER HOSPITAL ASSOCIATION IS A RURAL INTEGRATED HEALTH CARE ORGANIZATION BRINGING TOGETHER A PHYSICIAN CLINIC AND HOSPITAL SERVICES TO DELIVER QUALITY COORDINATED CARE. false true 9972563 2013 13310083 ACUTE CARE HOSPITAL AND RURAL HEALTH CLINIC 9972563 true true false true false false false false false true true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false true 14 0 108 true false false false false false false false false false false false false X 9 5 false false false false true true true true true false false true true true true true true false false false X KELLEY HARMON 9706574612 2800 TENTH AVENUE N BILLINGS MT 59107 Jessica Cozzens Director 3.0 40.0 X 0 354206 56809 Wade See Physician 40.0 0.0 X 362796 0 32965 Richard Klee Physician 40.0 0.0 X 339512 0 45651 Dr Cody White PHYSICIAN 40.0 0.0 X 304906 0 50986 Justin Ott SECRETARY/TREASURER 3.0 40.0 X X 0 208022 57113 Dr David Kane DIRECTOR/PHYSICIAN 40.0 0.0 X 0 198193 45859 Matthew Waller Director 3.0 40.0 X 0 177647 55216 Luke Kobold CEO 40.0 0.0 X 177069 0 45770 Edwin Sheils PHYSICIAN ASSISTANT 40.0 0.0 X 175396 0 42502 Locke Murphy Nurse Practitioner 40.0 0.0 X 155955 0 41479 Tom Chamberlain President 3.0 0.0 X X 0 0 0 Bharat Acharya Vice President 3.0 0.0 X X 0 0 0 Dr Dan Vesbach Director 3.0 0.0 X 0 0 0 Ann Davey Director 3.0 0.0 X 0 0 0 Marlene Deis Director 3.0 0.0 X 0 0 0 1515634 938068 474350 8 false true false Billings Clinic 2800 Tenth Avenue North BILLINGS MT 59101 Intercompany service 4282887 VAYA Workforce Solutions LLC PO BOX 9416 MINNEAPOLIS MN 55480 Contract Labor 954308 BEST PRACTICE MEDICINE LLC 601 Haggerty LN SUITE A BOZEMAN MT 59715 MEDICAL SERVICES 345413 MONTANA HEALTH NETWORK 519 PLEASANT ST MILES CITY MT 59301 MEDICAL CONSULTING 221234 WILDERNESS MEDICAL STAFFING PO BOX 30729 SPOKANE WA 99223 Medical Staffing 211187 5 433032 433032 PATIENT SERVICE REVENUE 621300 13300191 13300191 MEALS 900099 4740 4740 13304931 91782 91782 0 0 0 0 0 2675125 2539765 135360 135360 135360 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 4546 4546 INCENTIVE PAYMENTS 900099 5346 5346 9892 13974997 13310083 231882 2013 2013 0 0 0 614634 539759 74875 0 6062226 4921967 1140259 263860 220713 43147 544866 373031 171835 410087 314765 95322 1558200 1308888 249312 1688 1688 27653 27653 385 385 0 0 978661 702357 276304 0 42513 42513 476751 49728 427023 51386 13860 37526 0 234254 172196 62058 65871 49657 16214 0 0 402851 402851 0 803134 234103 569031 49327 49327 MEDICAL SUPPLIES 975396 918561 56835 DIETARY 75593 2503 73090 REPAIRS AND MAINTENANCE 180085 146612 33473 OTHER 15101 1850 13251 13836535 9972563 3863972 0 7477244 7216638 1925551 1988312 0 0 1744397 1482884 0 0 0 0 0 0 224658 61077 174104 216471 20315537 10146047 10669714 10169490 948643 1053741 0 0 0 0 0 0 139037 145647 23303348 22334260 578532 598135 0 0 239294 0 0 0 0 0 0 0 10621577 10096852 0 0 3825045 3520408 15264448 14215395 X 8018900 8098865 20000 20000 8038900 8118865 23303348 22334260 138462 -58497 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 385 385 false false Schedule C, Part II-B, Line 1i Lobbying: A portion of the dues paid to the Montana Hospital Association by Stillwater Hospital Association was allocable to lobbying activities. 20000 235 235 20000 20000 10 10 20000 20000 14 14 20000 20000 115 115 20000 20000 256 256 20000 1.00000 false false 597537 597537 13486016 5542098 7943918 5117862 3739412 1378450 1114122 864537 249585 10169490 0 DUE TO RELATED PARTY 3520408 3520408 13938413 -58497 21913 -36584 13974997 13974997 13843143 6608 6608 13836535 13836535 SCHEDULE D, PART V, LINE 4 DESCRIBE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENT INCLUDES DONOR RESTRICTED ENDOWMENT FUNDS. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D REVENUE ON BOOKS, NOT ON RETURN: 21,913 - ACTIVITY OF STILLWATER FOUNDATION CONSOLIDATED IN FINANCIALS, EXCLUDED FOR TAX RETURN SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN: 6,608 - ACTIVITY OF STILLWATER FOUNDATION CONSOLIDATED IN FINANCIALS, EXCLUDED FOR TAX RETURN true true X true X true X true true false false 386229 386229 0.02790 1147700 1244946 0 0.00000 1533929 1244946 386229 0.02790 2013 2013 0.00010 2013 2013 0.00010 1535942 1244946 388242 0.02800 true 388913 3399238 3114286 284952 X true true 1 1 STILLWATER HOSPITAL ASSOCIATION 710 N 11TH ST COLUMBUS MT 59019 STILLWATERBILLINGSCLINIC.COM 13418 X X X X X PHYSICIAN CLINIC 1 STILLWATER HOSPITAL ASSOCIATION false false true X X X X X X X X X 23 true false false true X SEE PART V, SECTION C FOR URL X true 20 true SEE PART V, SECTION C FOR URL false true X 200. 400. X X X X true true X X X true X See PArt V Section C for URL X see part v section c for URL X See part V Section C for URL X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 DESCRIBE HOW THE HOSPITAL TOOK INTO ACCOUNT PERSONS WHO REPRESENT THE COMMUNITY: A STEERING COMMITTEE WAS FORMED WHICH INCLUDED A DIVERSE GROUP OF COMMUNITY MEMBERS (PUBLIC HEALTH, ELDERLY, UNINSURED, BUSINESS OWNERS AND HOSPITAL STAFF) INCLUDING: 1. STILLWATER BILLINGS CLINIC CEO 2. STILLWATER BILLINGS CLINIC-CLINIC DIRECTOR 3. STILLWATER BILLINGS CLINIC OUTPATIENT RN 4. STILLWATER BILLINGS CLINIC PHYSICAL THERAPIST 5. STILLWATER BILLINGS CLINIC DIRECTOR OF NURSING, PUBLIC HEALTH DIRECTOR 6. STILLWATER BILLINGS CLINIC TRAUMA COORDINATOR 7. STILLWATER BILLINGS CLINIC REGISTERED DIETICIAN 8. STILLWATER COUNTY SHERIFF'S OFFICE 9. STILLWATER COUNTY PARAMEDIC 10. STILLWATER BILLINGS CLINIC PUBLIC HEALTH RN 11. STILLWATER BILLINGS CLINIC HR GENERALIST 12. STILLWATER BILLINGS CLINIC NURSING INFORMATICIST 13. STILLWATER BILLINGS CLINIC MARKETING/FOUNDATION COORDINATOR THE STEERING COMMITTEE DETERMINED THE MOST IMPORTANT HEALTH NEEDS TO BE ADDRESSED BY REVIEWING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SECONDARY DATA, COMMUNITY DEMOGRAPHICS, AND INPUT FROM REPRESENTATIVES REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE. THE STEERING COMMITTEE MET TWICE BEGINNING APRIL 2023 DURING THE COMMUNITY HEALTH SERVICES DEVELOPMENT (CHSD) PROCESS, FIRST TO DISCUSS HEALTH CONCERNS IN THE COMMUNITY AND AGAIN TO REVIEW THE RESULTS OF THE SURVEY AND FOCUS GROUPS AND TO ASSIST IN THE PRIORITIZATION OF HEALTH NEEDS TO ADDRESS. SCHEDULE H, PART V, SECTION B, LINE 7A DIRECT URL WHERE CHNA REPORT IS MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE: https://www.billingsclinic.com/app/files/public/309799de-f98c-4977-b8dc-f5 1b10d7d168/2023-PRC-CHNA-Report-Yellowstone-County-MT-WEB.pdf Schedule H, Part V, Section B, Line 10a Direct URL where implementation plan is made widely available: https://stillwaterbillingsclinic.com/wp-content/uploads/SBC_Implementation %20Plan%20Report%202020-2023%20FINAL.pdf SCHEDULE H, PART V, SECTION B, LINE 11 STILLWATER COMMUNITY HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA BY IDENTIFYING THE TOP 4 GOALS ALONG WITH CORRESPONDING STRATEGIES AND ACTIVITIES, PERSONS RESPONSIBLE AND TIMELINE FOR ADAPTATION. The top four goals and corresponding strategies are as follows: Goal 1: Improve awareness of resources and services in Stillwater County through enhanced community outreach and education Strategy: Explore opportunities to enhance County-wide health education and partnership in community events Activities: Continue to partner with local school to support and co-sponsor health education and promotion events in Columbus and Absarokee. Expand outreach to Park City, Reed Point, and Rapelje. Develop County outreach materials to improve knowledge and access to local services and resources (i.e. information booth materials, handouts for community events). Explore opportunities support/grow area health fairs/wellness events with new community partners (i.e. Stillwater Mine). Enhancing opportunities to share educational materials and provide various outreach and/or screening services for free or nominal cost. Develop and publish community 'patient experience' stories in local newspaper and through social media to help enhance community knowledge of services available. Goal 2: Improve overall health in Stillwater County through increased access to health and wellness opportunities Strategy: Engage with community partners to improve and expand health and wellness resources in the county Activities: Continue to develop a walking trail on campus to improve access to fitness opportunities in Stillwater County. Expand current community coalition to a County wide wellness coalition-stakeholder group. Meeting at least twice a year to determine goals and project awareness. With coalition, conduct an environmental scan of current projects, and research new potential projects, funding, and sustainability strategies. Develop programs at SBC that address fitness, nutrition, wellness (ex. Diabetes prevention program). Develop new education/outreach on chronic disease, communicable disease, fall prevention and monthly health topics. Goal 3: Improve access to mental and behavioral health services in Stillwater County Strategy 3.1: Continue to collaborate with community partners to enhance efforts addressing mental and behavioral health needs in Stillwater County Activities: Continue to foster relationship and collaboration with local mental health center to enhance care collaboration and referrals. Continue to send staff to participate in Local Mental Health Advisory Council which helps to coordinate mental health resources in Stillwater County. Work with community partners/LAC to explore available/new trainings and education for mental health and substance abuse. Strategy 3.2: Enhance access to behavioral health services. Activities: Continue to participate in Billings Clinic Behavioral Health grant to enhance access to mental health services provided in the area. Develop and implement Integrated Behavioral Health protocol to improve referral process to psychiatric care and expand mental health workforce in community. Implement new Integrated Behavioral Health program and create marketing and outreach materials to educate community and providers on new resources. Create tools to assess and evaluate program process and success of new Integrated Behavioral Health program. Strategy 3.3: Continue to enhance mental health outreach and education for area residents. Activities: Meet with local schools to develop mental health, suicide risk, and substance abuse education programs in the schools. Partner with local schools to implement the PAX good behavior game. Offer community Mental health First Aid (Adopt and modify education for community members as appropriate). Continue to catalogue local mental health/substance use resources, services, and programs available, and educate community. Goal 4: Improve access to healthcare services in Stillwater County Strategy: Collaborate with County partners on transportation needs in Stillwater County Activities: Determine community stakeholder group working on transportation needs in Stillwater County. Convene stakeholder group to discuss and identify transportation needs and opportunities. Research community models and best practices for transportation in communities/counties of similar size. Continue to explore grant opportunities. Develop patient transportation protocol for SBC staff when assisting patients and community members. The CHNA Implementation Plan Progress Report can be found at https://stillwaterbillingsclinic.com/wp-content/uploads/SBC_Implementation %20Plan%20Report%202020-2023%20FINAL.pdf SCHEDULE H, PART V, SECTION B, LINE 16a DIRECT URL FOR FINANCIAL ASSISTANCE POLICY: IN 2023 STILLWATER HOSPITAL ASSOCIATION WHO IS RELATED TO BILLINGS CLINIC ADOPTED BILLINGS CLINIC FINANCIAL POLICIES. THERE IS A LINK ON STILLWATER HOSPITAL'S WEBSITE THAT IS A DIRECT LINK TO BILLINGS CLINIC FINANCIAL POLICY. TO NAVIGATE THERE START AT STILLWATER'S WEBSITE: HTTP://STILLWATERBILLINGSCLINIC.COM/ CLICK ON PATIENT INFO, THEN FINANCIAL ASSISTANCE. THE DIRECT LINK IS: https://www.billingsclinic.com/patients-visitors/billing-insurance-financi al-options/financial-assistance/ SCHEDULE H, PART V, SECTION B, LINE 16b Direct URL for Financial assistance policy application: In 2023 Stillwater Hospital Association who is related to Billings Clinic adopted Billings Clinic Financial policies. There is a link on Stillwater hospital's website that is a direct link to billings Clinic Financial policy. TO Navigate there start at Stillwater's website: http://stillwaterbillingsclinic.com/ Click on Patient Info, then Financial Assistance, and then Financial Assistance Application Download Form. The direct link is: https://www.billingsclinic.com/app/files/public/82e59601-7cf3-419f-9085-71 e2331670a3/BC%20Financial%20Assistance%20Application%2012-20-2023.pdf Schedule H, part V, Section B, Line 16c Direct URL for Financial assistance policy Plain Language Summary: In 2023 Stillwater Hospital Association who is related to Billings Clinic adopted Billings Clinic Financial policies. There is a link on Stillwater hospital's website that is a direct link to billings Clinic Financial policy. TO Navigate there start at Stillwater's website: HTTP://STILLWATERBILLINGSCLINIC.COM/ CLICK ON PATIENT INFO, THEN FINANCIAL ASSISTANCE, and then Financial Assistance Policy Plain Language Summary. The direct link is: https://www.billingsclinic.com/app/files/public/7c016af9-3e3f-4fa1-a20d-b8 5669557b4c/BCL_FinancialAssistanceBrochureMay23.pdf SCHEDULE H, PART I, LINE 3C DESCRIPTION OF ADDITIONAL CRITERIA TO DETERMINE FINANCIAL ASSISTANCE: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES BILLINGS CLINIC ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. SCHEDULE H, PART III, SECTION A, LINE 2 THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, SECTION B, LINE 8 ALLOWABLE MEDICARE COSTING METHODOLOGY: STILLWATER BILLINGS CLINIC ESTIMATES THAT 45% OF STILLWATER BILLINGS CLINIC'S MEDICARE SHORTFALLS SHOULD BE COUNTED AS COMMUNITY BENEFIT. OUR RATIONALE IS THAT 45% IS THE BEST ESTIMATE OF THE PERCENTAGE OF MONTANA'S MEDICARE POPULATION (AGED 65 AND OLDER) WHO ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL. BASED ON MEDICARE AND U.S. CENSUS DATA, THOSE PATIENTS WOULD QUALIFY FOR FULL FINANCIAL ASSISTANCE. A HIGHER PERCENTAGE WOULD QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE WITH INCOMES FROM 100%-300% OF THE FEDERAL POVERTY LEVEL. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENTS ARE SCREENED BY THE ORGANIZATION'S FINANCIAL COUNSELORS TO SEE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. IF THEY QUALIFY, THEIR ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY. IF THERE IS A BALANCE AFTER THE ADJUSTMENT, THE ORGANIZATION FOLLOWS THE NORMAL DEBT COLLECTION PRACTICE. IN UNUSUAL SITUATIONS WHERE THE PATIENT'S CIRCUMSTANCES HAVE CHANGED, THE CEO HAS THE AUTHORITY TO GRANT EXCEPTIONS TO THE POLICY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH DAY TO DAY PATIENT CARE AND THE WORK OF THE COMMUNITY HEALTH SERVICES DEPARTMENT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE ORGANIZATION EMPLOYS A BUSINESS OFFICE LEAD WHO IS RESPONSIBLE FOR ADMINISTERING THE FINANCIAL ASSISTANCE PROGRAM, ASSURING THE DETERMINATION FOR FINANCIAL ASSISTANCE MEETS THE REQUIREMENTS OF THE POLICY, AND NOTIFYING THE PATIENT AND/OR RESPONSIBLE PARTY OF THE FINAL DETERMINATION OF AMOUNTS APPROVED UNDER THE POLICY. PATIENT REPRESENTATIVES WORK WITH THE PATIENTS IN COMPLETING APPLICATIONS THAT DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. INFORMATION IS ALSO IN PRINTED FORM ON PATIENT BILLS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: STILLWATER COUNTY STRETCHES 75 MILES OF TWO LANE ROADS FROM NORTH TO SOUTH CONNECTING MOUNTAIN RANGES TO THE LAKE BASINS, COULEES, AND ROLLING PLAINS. INTERSTATE 90 PASSES THROUGH THE COUNTY AT COLUMBUS. COUNTY HAS A POPULATION OF 9,801 WITH 6 UNINCORPORATED COMMUNITIES AND 1 INCORPORATED COMMUNITY OF COLUMBUS WHERE THE HOSPITAL RESIDES. COUNTY HAS A VAST ARRAY OF OUTDOOR RECREATIONAL OPPORTUNITIES. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: STILLWATER HOSPITAL ASSOCIATION'S COMMUNITY HEALTH SERVICES DEPARTMENT STRIVES TO PROVIDE BROAD-BASED COMMUNITY HEALTH INFORMATION AND SERVICES TO THE RESIDENTS, FACILITIES AND GUESTS OF STILLWATER COUNTY. THE BOARD HAS COMMUNITY MEMBERS SERVING. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: STILLWATER BILLINGS CLINIC IS MANAGED BY BILLINGS CLINIC AND WORKS CLOSELY WITH BILLINGS CLINIC AND OTHER HOSPITALS ALSO MANAGED BY BILLINGS CLINIC TO PROVIDE HIGH QUALITY PATIENT CARE. false false false false false false false false false Luke Kobold CEO 164139 11669 1261 17240 28530 222839 Dr David Kane DIRECTOR/PHYSICIAN 0 195098 0 0 0 3095 0 18622 0 27237 0 244052 Dr Cody White PHYSICIAN 284592 20075 239 26275 24711 355892 Justin Ott SECRETARY/TREASURER 207349 0 673 32262 24851 265135 Matthew Waller Director 177110 0 537 28294 26922 232863 Edwin Sheils PHYSICIAN ASSISTANT 172771 1859 766 16795 25707 217898 Jessica Cozzens Director 351771 410 2025 26275 30534 411015 Locke Murphy Nurse Practitioner 153872 1984 99 15001 26478 197434 Richard Klee Physician 337000 0 2512 26275 19376 385163 Wade See Physician 339874 20000 2922 23177 9788 395761 SCHEDULE J, PART I, LINE 3 DESCRIBE HOW CEO COMPENSATION IS DETERMINED: COMPENSATION FOR THE CEO IS PAID BY BILLINGS CLINIC, A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR HOW CEO COMPENSATION IS DETERMINED. FORM 990, PART III, LINE 3 HOME HEALTH SERVICES WAS DISCONTINUED DURING THE 2022 FISCAL YEAR. FORM 990, PART VI, SECTION A, LINE 6 DESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: BILLINGS CLINIC IS THE SOLE MEMBER OF STILLWATER HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY: THE SOLE MEMBER HAS AUTHORITY TO RECOMMEND, APPROVE AND REJECT NOMINATIONS OF BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: THE FOLLOWING ARE GOVERNANCE DECISIONS OF THE ORGANIZATION WHICH ARE SUBJECT TO APPROVAL BY THE SOLE MEMBER: - AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, OR NAME; - DISSOLUTION, MERGERS, OR CONSOLIDATIONS WITH OR INTO ANOTHER ENTITY; - SALE, LEASE, EXCHANGE OR DISPOSITIONS OF PROPERTY OF THE ORGANIZATION; - APPROVAL OF BUDGETS; - INCURRENCE OF DEBT AND PURCHASES MADE BY THE ORGANIZATION IN AMOUNTS EXCEEDING $100,000; - SELECTION, HIRING, PRIMARY SUPERVISION, DISCIPLINE AND TERMINATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; - ADDITION OR DISCONTINUANCE OF ANY SERVICE OFFERED TO BY THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY A THIRD PARTY AND REVIEW IS PERFORMED BY THE BOARD OF DIRECTORS. ANY CHANGES AND COMMENTS ARE PROVIDED BACK TO THE PREPARER AND THE FINAL FORM 990 IS PROVIDED TO THE FULL BOARD PRIOR TO FILING. THE ORGANIZATION WAS PROVIDED AN EFILE SUBMISSION FORM WITH THE COMPLETED RETURN WHICH WAS SIGNED AND SUBMITTED FOR ERO PROCESSING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL DIRECTORS, OFFICERS, EMPLOYEES, AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND MUST PROVIDE AN ANNUAL STATEMENT INDICATING THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH THE POLICY. THE BOARD IS CHARGED WITH PERIODICALLY REVIEWING AND MONITORING THE POLICY TO ENSURE THE ORGANIZATION ACTS IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSE. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WILL INVESTIGATE ANY ALTERNATIVES AND DETERMINATIONS AS TO WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND WILL ESTABLISH PROCEDURES FOR VIOLATIONS OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15A DESCRIBE PROCESS FOR DETERMINING CEO/EXECUTIVE COMPENSATION: COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. COMPENSATION IS DETERMINED BY AN ANNUAL REVIEW OF EXTERNAL MARKET DATA FOR SIMILAR SIZE ORGANIZATIONS THROUGH USE OF SURVEY DATA WITH MHA AND YAFFEE & COMPANY, AND RURAL CRITICAL ACCESS HOSPITAL FACILITIES. COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AS RECOMMENDED BY THE VP OF REGIONAL SERVICES. THE REVIEW IS DONE AT THE TIME OF THE CEO'S ANNUAL PERFORMANCE REVIEW. FORM 990, PART VI, SECTION B, LINE 15B DESCRIBE PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS: OTHER OFFICER COMPENSATION IS PAID THROUGH BILLINGS CLINIC, THE SOLE MEMBER. SALARIES FOR THE OTHER KEY OFFICERS/LEADERS IN THE ORGANIZATION ARE REVIEWED FOR COMPARISON TO OTHER SIMILAR SIZE ORGANIZATIONS THROUGH USE OF EXTERNAL SALARY SURVEY SOURCES SUCH AS MHA AND ASSOCIATED EMPLOYERS. THIS REVIEW IS CONDUCTED BY STILLWATER'S HR GENERALIST AND THE CEO. BUDGET RECOMMENDATIONS ARE FORMULATED FOR REVIEW AND APPROVAL BY THE VP OF REGIONAL SERVICES AND FOR FINAL APPROVAL BY THE BOARD OF DIRECTORS/FINANCE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. BILLINGS CLINIC (BC) 2800 TENTH AVENUE NORTH BILLINGS MT 59101 810231784 HOSPITAL MT 501(C)(3) LINE 3 NA false BILLING CLINIC FOUNDATION 2917 TENTH AVENUE NORTH BILLINGS MT 59101 810407289 FUNDRAISING MT 501(C)(3) LINE 7 BC false Townsend Health Systems Inc 110 NORTH OAK STREET Townsend MT 59644 810398400 Hospital MT 501(C)(3) Line 3 BC false STILLWATER COMMUNITY HEALTHCARE FDN 710 N 11TH ST COLUMBUS MT 59019 200748325 FUNDRAISING MT 501(C)(3) LINE 7 STILLWATER true Billings Clinic Innovation Fertility 399 KNOLLWOOD RD SUITE 303 WHITE PLAINS NY 10603 881032699 FERTILITY CLINIC NY NA NONE BILLINGS CLINIC EXPRESS CARE LLC 2800 10TH AVENUE NORTH BILINGS MT 59101 463355499 OUTPATIENT CLINIC MT BILLINGS CLINIC C-CORPORATION false false false false true true false false false false false false false true true true true true false false STILLWATER COMMUNITY HEALTHCARE FDN D 128569 INTERCO AMOUNT